Individual
THERESA CORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00751400
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
SP017345
PA
Other
Enumeration date
04/24/2017
Last updated
04/11/2024
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